1982, 03-09 Permit: 82A-1606 GaragewrrLitw 1 lUN/ M11111111
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1. N.• 2'
LOT BLOCK SUBDIVISION I 11
2. Uri, SLI 13 • F -6
-if N f Itis'
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S M 16o&
r or ems I c r tzr. C, E f.;-- or lie. corr.' , r4• N{'3c9o'•
Actual Set Backs in Feet
North (South 0— East j34— 'Wes
Size of Parcel Zon Classification
k- '
Tyge lConst Oaypancy Sprinklered
N NI I ❑Yes ❑No 0 Reced.
DESIGNER
6. ADDRESS
PHONE
ValuationL�,Y-t5 Building Area etsg. Ft.
Main FIloorr Upper Garage Area 66
ZIP
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basemen
TYPE
7. OF
WORK
,le/'NNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
LTJ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Bath
No. Stories
No. Room
No. of Dwelling
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not R94'd.
DESCRIBE OR
8.
VALUATI
9.
SOURCE
OF
UTILITIES
/ `iej V
GAS ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public 0 Private
SE CODE
I hereby cert'fyrthat I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / '�//�
DATE OF APPLICATION — L SIGNATURE OF APPLICANW�'C./L//`—
PECIAL APPROVALS
1, NAME DATE
En
Planni
g
3/9
Fire Marshall
Co. Engineer
Utilities
Plans Exa finer
$trrCA Checklist
•
Z3og
Tec ciaA
SPECIAL CONDITIONS:
j ffiliv 'i2 9gv
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
02* *7500
*7500
*7500
A *000 S
160.32
03-09-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.1.,
V5' 0:9821
DATE ISSUED PERMIT NO. TOTAL
116'0.6'1 *75.0,0.20
67c19-11
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or
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